| NPI | 1528107224 |
|---|---|
| Other Name | LONG ISLAND DDSO DT |
| Entity Type | Organization |
| Authorized Contact | KARLA SMITH Director Of Central Operations 518-402-4333 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: NY 00227628) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-06-25 |